ADAPTED PHYSICAL EDUCATION TEACHING MINOR
PROFESSIONAL RECOMMENDATION FORM
This box is completed by the applicant.
Date________________
Applicant Name
Student ID Number
To Individual Recommending the Applicant Named Above:
The above-named applicant is applying for admittance to the undergraduate Adapted Physical Education teaching minor at the UW-La Crosse.
This program is designed to prepare physical education teacher candidates to attain knowledge, skills, and dispositions necessary to develop,
implement, and evaluate physical education programs for PK-12 students with disabilities. Your recommendation will be one criterion used to
assess the qualifications of the candidate. Please complete this form based on professional experiences associated with the applicant and send to
Adapted Physical Education Program, 108 Mitchell Hall, UW-La Crosse, La Crosse, WI 54601. If you have any questions or concerns
regarding this recommendation, you may call the Adapted Physical Education office at 608-785-5415. Thank you for your assistance. Your best
professional judgment regarding the applicant is appreciated.
Note: This form should be completed by faculty only – not undergraduate or graduate students.
Sincerely, Garth Tymeson, Adapted Physical Education Teacher Preparation Coordinator
Name of Individual Completing Recommendation Form
Position
Phone
How long have you known the applicant?
Please rate the applicant on the following INTASC Beginning Teacher Standards relative to other students you have known:
5
4
3
2
1
INTASC Beginning Teacher Standards
Above
Below
Excellent Average Average Average Poor
1 – Learner Development: The teacher understands how learners grow
and develop, recognizing that patterns of learning and development vary
individually within and across the cognitive, linguistic, social, emotion
and physical areas, and designs and implements developmentally
appropriate and challenging learning experiences.
2 - Learning Differences: The teacher uses understanding of individual
differences and diverse cultures and communities to ensure inclusive
learning environments that enable each learner to meet high standards.
3 – Learning Environments: The teacher works with others to create
environments that support individual and collaborative learning, and that
encourage positive social interaction, active engagement in learning, and
self-motivation.
4 – Content Knowledge: The teacher understands the central concepts,
tools of inquiry, and structures of the discipline(s) he or she teaches and
creates learning experiences that make these aspects of the discipline
accessible and meaningful for learners to assure mastery of the content.
5 – Application of Content: The teacher understands how to connect
concepts and use differing perspectives to engage learners in critical
thinking, creativity, and collaborative problem solving related to
authentic local and global issues.
6 – Assessment: The teacher understands and uses multiple methods of
assessment to engage learners in their own growth, to monitor learner
progress, and to guide the teachers’ and learner’s decision making.
7 – Planning for Instruction: The teacher plans instruction that supports
every student in meeting rigorous learning goals by drawing upon
knowledge of content areas, curriculum, cross-disciplinary skills, and
pedagogy, as well as knowledge of learners and community context.
8 – Instructional Standards: The teacher understands and uses a variety
of instructional strategies to encourage learners to develop deep
understanding of content areas and their connections, and to build skills
to apply knowledge in meaningful ways.
9 – Professional Learning and Ethical Practice: The teacher engages in
ongoing professional learning and uses evidence to continually evaluate
his/her practice, particularly the effects of his/her choices and actions on
others (learners, families, other professionals, and the community), and
adapts practice to meet the needs of each learner.
10 – Leadership and Collaboration: The teacher seeks appropriate
leadership roles and opportunities to take responsibility for student
learning, to collaborate with learners, families, colleagues, other school
professionals, and community members to ensure learner growth, and to
advance the profession.
(Continued on back side)
No basis
for
judgment
Please rate the applicant in the following personal characteristics in relation to other students you have experienced:
5
Personal Characteristic
Excellent
4
Above
Average
3
Average
2
Below
Average
1
Poor
No basis
for
judgment
Academic ability
Teaching ability
Professional attitude
Attitudes concerning diversity
Integrity/character
Responsibility
Initiative to learn
Emotional stability
Problem-solving ability
Professional appearance
Leadership Among Peers
Self-Initiation
Please provide additional comments to assist us in determining the qualifications of the applicant.
Signature:
Print Name:
Date:___________________